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SAN JOAQUIN <br />-COUNTY-- <br />c. Tank/PiF Disposal Site: <br />ALCO IRON &METALS <br />Environmental Health Department <br />Address 1815 NAVY DRIVE City srocKroN Zjp 95206 <br />Phone No.(zos � 632-110 <br />EPA ID# (if transported to a permitted TSD facility) <br />9. Is the sampling firm an independent third party from the contractor (REQUIRED)? <br />YES [c ] NO [ ] <br />9a. Describe, in detail, how the soil and/or water samples) beneath the tank and piping will be obtained: <br />SOIL SAMPLES WILL BE COLLECTED FROM THE BACKHOE BUCKET USING A METRIC SOIL SAMPLER AND BRASS/STAINLESS STEEL SLEEVES <br />THF FN DR OF FArH RI FF\/F WII I RF r.O\/FRFs WITH TFFI ON RHFFTR PI ARTIr, r.APRA ND CFAI FD WITH TAPF <br />10. Describe how the excavation will be backfilled with suitable material upon removal: <br />NO BACKFILLING WILL BE PERFORMED, THE AREA IS UNDER CONSTRUCTION AND WILL BE BACKFILUCOMPACTED AFTER INSTALLATION <br />OF APPROPRIATE FOOTINr (; FOR PI ANNFD YARD RTRI Ir:TI IRF <br />11. Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />PLASTIC SHEETING <br />12 <br />13 <br />14. <br />b) What will be the final destination of the excavated stockpile? <br />EXCVATED SOIL SHALL 8E PLACED BACK INTO UST EXCAVATION UNLESS IMPACTED. IF IMPACTED, SOIL WILL BE DISPOSED AT AN APPROPRIATE <br />LANDVILL FACILITY. <br />c) Contaminated Soil Hazardous Waste Hauler: <br />RB ENVIRONMENTAL Hauler Registration # ssas <br />Address 4460 HWY 99 FRONTAGE ROAD Clty STOCKTON Zip 65215 <br />Phone Number (29 ) 932-0606 <br />What is the depth to groundwater? 20 FEET <br />Describe the source of information: <br />Are there any water wells on this parcel or adjacent properties? <br />YES [ ] NO [x ] <br />Will the tanks) pending closure be replaced with an aboveground or underground storage tank(s)? <br />15. Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br />permit payment per tank. If the part <br />y designated below is different than the permit applicant, e.g. property <br />owner, the party must acknowledge this responsibility for the billing by signature and date below. <br />Name STOCKTON UNIFIED SCHOOL DISTRICT <br />Mailing Address 1944 EL PINAL DRIVE, STOCKTON, CA 952-5 <br />Day Phone Number (los ) 933-7045 <br />5of10 <br />TYPE OF WELLS <br />DISTANCE <br />TO TANKS(S) <br />Public Well <br />1000+ <br />ft. <br />Private Well <br />2000+ <br />ft. <br />Irrigation Well <br />NA <br />ft. <br />Monitoring Well <br />NA <br />ft. <br />Other <br />NA <br />ft. <br />Will the tanks) pending closure be replaced with an aboveground or underground storage tank(s)? <br />15. Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br />permit payment per tank. If the part <br />y designated below is different than the permit applicant, e.g. property <br />owner, the party must acknowledge this responsibility for the billing by signature and date below. <br />Name STOCKTON UNIFIED SCHOOL DISTRICT <br />Mailing Address 1944 EL PINAL DRIVE, STOCKTON, CA 952-5 <br />Day Phone Number (los ) 933-7045 <br />5of10 <br />